Observations on the Diseases of SeamenBlane, Gilbert, Sir
History
Observations on the Diseases of Seamen
Blane, Gilbert, Sir
Medicine, Naval -- Early Works To 1800; Sailors -- Diseases
consequence of that general languor and want of energy which too much
external heat induces in the functions, particularly in that power
by which the living body preserves itself from putrefaction. Now if
this portion of the blood, thus altered and depraved, is readily
secreted and speedily thrown out, as in _cholera morbus_, no harm
befals the constitution, nor any inconvenience but what arises from
the irritation of the _primæ viæ_. But this may not take place if the
body should be otherwise deranged; for the removal of this noxious
matter from the mass of blood depends upon a due irritability of the
blood vessels, the liver, and the bowels, whereby they are stimulated
to contract, and thereby expel it. According to the principle of Mr.
John Hunter, (whose deep and industrious researches into the animal
œconomy place him high in the list of those few on whom nature has
bestowed real genius, and who are capable of adding something new to
the stock of human knowledge,) there is in a state of health a relative
habitude or mutual harmony existing between the solids and fluids,
whereby they stimulate and produce actions in each other, in which
the healthy state of the functions consists, whether employed in the
formation of what is found, or the expulsion of what is noxious: so
that where it happens that the solids have a morbid insensibility to
the impressions of corrupted and acrimonious fluids, the retention
of these adds still more to the general derangement. To illustrate
this, it may be observed, that the stomach and bowels, when they are
endowed, as it were, with their natural perception, immediately expel
any preternatural accumulations of bile that may take place; but when
they are insensible to this stimulus through disease, no effort is made
to relieve nature till it is excited by medicine. The same reasoning
may be applied to the various vessels and ducts. Thus when we see the
liver gorged with bile, without any free excretion of it into the gall
bladder, as I have sometimes found to be the case upon inspecting the
body in some of the worst cases of fever, would it not appear that the
gall ducts have lost that natural irritability whereby the bile is
expelled? Or, in consequence of a depraved state of action, connected
with febrile affection, may it not happen that the absorbents, which,
in their natural state, only absorb particular substances, and in a
given quantity, will suffer a change in this natural action, and absorb
whatever happens to be applied to their orifices? In case of jaundice,
the bile, which is perhaps not at all absorbed in a state of health, is
taken up in large quantities, and mingled with the mass of blood, which
proves a seasonable relief in the state of accumulation and distension
occasioned by the obstruction. This may happen in cases of fever, not
indeed as a relief to nature, but from a depraved state of irritability
in the lymphatics, induced by disease. Though no increased quantity
Public-domain text, read in full here on John Shaqi.
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